NGS Audit & Reimbursement II

Description

Your Talent. Our Vision. At National Government Services (NGS), an independent subsidiary of Anthem, Inc. and one of the largest Medicare contractors in the country, it’s a powerful combination.  It’s the foundation upon which we’re creating greater access to care for our members, greater value for our customers and greater health for our communities. Join us and together we will drive the future of health care.

This is an exceptional opportunity to do innovative work that means more to you and those we serve. 

NGS Audit & Reimbursement Auditor II

Work Location – This position can be filled through a work at home option anywhere in the United States or can be onsite at one of four office locations: Syracuse, NY; Indianapolis, IN; South Portland, ME; or Richmond, VA.

Primary Purpose: The Audit and Reimbursement Auditor II, under guided supervision, will support audit activities of healthcare providers’ financial and statistical records in accordance with Government Auditing Standards (GAS). The Auditor II will gain experience on Medicare Part A Audit and Reimbursement as part of our Medicare Administrative Contract (MAC) with the Federal Government (The Centers for Medicare and Medicaid Services (CMS) branch of the Department of Health and Human Services).  The auditor will receive training, participate in audit related workload, and have opportunities to participate on special projects. This position provides a valuable opportunity to gain exposure in the healthcare reimbursement and financial industry.

Primary duties may include, but are not limited to:

• Under guided supervision, participate in completing the Uniform Desk Review/Audit Program on provider submitted Medicare cost reports.
• Document findings, prepare detailed work papers and present audit adjustment reports in accordance with GAS and CMS requirements
• Analyze and interpret data per a provider’s trial balance, financial statements, financial documents or other related healthcare records
• Gain experience with applicable Federal Laws, regulations, policies and audit procedures
• Respond timely and accurately to customer inquiries 
• Ability to use effective communication and interaction skills
• Ability to multi- task while independently and effectively prioritizing work using time management, initiative, project management and problem-solving skills

Qualifications

• Requires a BA/BS degree, preferably in accounting; 2-5 years of audit/reimbursement or related Medicare experience; thorough knowledge of CMS program regulations and cost report format; knowledge of CMS computer systems and Microsoft Office Word and Excel; or any combination of education and experience, which would provide an equivalent background. MBA, CPA or CIA preferred.
• Must obtain Continuing Education Training requirements (where required).
• A valid driver's license and the ability to travel may be required.
• Demonstrated understanding of accounting principles, auditing theories, or math concepts obtained through formal education and/or work related experience
• Must possess effective verbal and written communication skills
• Experience in Microsoft Office Word, Excel and Outlook
• Effective organization and time management skills
• Effective problem solving skills
• Excellent interpersonal skills with the ability to establish working relationships with individuals at varying levels within the organization
• Ability to travel may be required   

The skills/competencies listed below are preferred but not required:

• Certified Public Accountant (CPA) or Certified Internal Auditor (CIA) or CPA Eligible
• Knowledge of Medicare Part A Laws, regulations, program manuals and audit policies
• Knowledge of CMS computer systems
• Knowledge of the Medicare cost report

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.